Organization
SHORE ATLANTIC GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS CHUKWUMUCHE ONWUKA MD. (MEDICAL DIRECTOR)
(609) 886-4441
Entity
Organization
Contact information
Practice address
1740 BAYSHORE ROAD, VILLAS, NJ 08251
(609) 886-4441
(609) 889-1766
Mailing address
1740 BAYSHORE ROAD, VILLAS, NJ 08251
(609) 886-4441
(609) 889-1766
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039861
—
NJ
Enumeration date
07/15/2006
Last updated
10/11/2013
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